<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
<html dir='ltr' xmlns='http://www.w3.org/1999/xhtml' xmlns:b='http://www.google.com/2005/gml/b' xmlns:data='http://www.google.com/2005/gml/data' xmlns:expr='http://www.google.com/2005/gml/expr' xmlns:fb='http://www.facebook.com/2008/fbml'>
<head>
<title>Blogger Modifiye İletisim</title>
<link href="http://fonts.googleapis.com/css?family=Gloria+Hallelujah" rel="stylesheet" type="text/css"></link>
<style type="text/css">
#ss-form input,#ss-form textarea {
background: url(http://1.bp.blogspot.com/-tS3Iqwx8UCo/TvhaYcZPoUI/AAAAAAAAADo/ngSYFIyYIfg/s1600/2011-12-26_132758.png) repeat-x;
 font-size:12px;
 line-height:18px;
 font-family: 'Gloria Hallelujah', cursive;
border:1px solid #c7c9cd; padding:3px; 
outline: none;
margin: 10px 0 5px;
text-shadow: 0px 0px 1px #aaa;
}
#ss-form input {
width:200px;
height:20px;
}
#ss-form input.submit {
height:30px;
width:100px;
font-size:18px;
font-weight:400;
margin: 2px 0 5px;

}
.ss-q-title{
font-family: 'Gloria Hallelujah', cursive;
font-size:18px;
font-weight:400;
}

#error {

 color:red;
 font-size:14px;
 display:none;
}
.needsfilled {
background:#e8e8e8 url(http://i.imgur.com/ymXKL.png) repeat-x;
z-index:1000;
 color:#000;
}

/* Real Person jQuery plugin styles v1.1.1. */
.realperson-challenge {
	display: block;
	color: #000;
}
.realperson-text {
	font-family: "Courier New",monospace;
	font-size: 6px;
	font-weight: bold;
	letter-spacing: -1px;
	line-height: 3px;
}
.realperson-regen {
	padding-top: 4px;
	font-size: 12px;
	text-align: center;
	cursor: pointer;
}
.realperson-disabled {
	opacity: 0.5;
	filter: Alpha(Opacity=50);
}
.realperson-disabled .realperson-regen {
	cursor: default;
}

</style>
<script src=' http://ajax.googleapis.com/ajax/libs/jquery/1.8.3/jquery.min.js'></script>

</head>
<body>


<script type="text/javascript" src="http://m.friendfeed-media.com/06c8242c3653da3625254e06575c28efb4471e6a"></script>

<script type="text/javascript">

     $(function(){
         $('#ss-form').ebcaptcha();
     });

    </script>


<span style="color: blue; font-size:16px;font-family: 'helvetika', cursive;
 "><b>ÖNERİ, İSTEK ve ELEŞTİRİLERİNİZ İÇİN</b></span><br />
<b style="color:gray; font-family: 'Gloria Hallelujah', cursive;
 "> mesajlarınızı bekliyoruz.</b><br />
<b><br />
</b><br />




<iframe id="hidden_iframe" name="hidden_iframe" onload="if(submitted){window.location='http://m.friendfeed-media.com/857440c5874dd9a32add18dd34dfc7069f430eeb';}" style="display: none;"></iframe><br />
<form action="https://docs.google.com/a/bloggermodifiye.com/spreadsheet/formResponse?formkey=dE96VTIzR1NjZ18yODZCZmtEbkxaRHc6MA&amp;ifq" id="ss-form" method="POST" onsubmit="submitted=true;" style="padding-top: 5px;" target="hidden_iframe"><table border="0" cellspacing="0" cellpadding="2" width="581"><tbody>
<tr>       <td valign="top" width="279"><label class="ss-q-title" for="entry_0">Adınız <span style="color: red;">*</span></label> <br />
<input class="ss-q-short" id="name" name="entry.0.single" type="text" value="" /><br />
<label class="ss-q-title" for="entry_1">E-Posta Adresi <span style="color: red;">*</span></label> <br />
<input class="ss-q-short" id="email" name="entry.1.single" type="text" value="" /><br />
<label class="ss-q-title" for="entry_2">Web Adresi</label> <br />
<input class="ss-q-short" id="entry_2" name="entry.2.single" type="text" value="" /></td>        <td valign="top" width="300"><label class="ss-q-title" for="entry_4">Mesajınız <span style="color: red;">*</span></label> <br />
<textarea class="ss-q-long" cols="55" id="message" name="entry.4.single" rows="6"></textarea><br />

<input class="submit" name="submit" type="submit" value="Gönder" /></td>     </tr>
</tbody></table><br />
</form>
<link href="http://fonts.googleapis.com/css?family=Gloria+Hallelujah" rel="stylesheet" type="text/css"></link><br />




<script src="http://m.friendfeed-media.com/d76517121fd644f0877bab1971eb70b52c778d41" type="text/javascript">
</script>


<script type="text/javascript" src="http://keith-wood.name/js/jquery.realperson.js"></script>
<script type="text/javascript">
$(function() {
 $('#defaultReal').realperson();
});
</script>

</body>
</html>
